Wizard - Sports Camp Registration - Leave

Sports Camp Registration Form

Participant Name:

First

Last

Parent/Guardian:

First

Last

Address:

Street Address
Address Line 2 (optional)
City	State	Zip

Phone:

(ex. 555-555-5555)

Email:

Age:

Date of Birth:

(m/d/yyyy)

Grade:

School:

T-Shirt Size:

(Not applicable for all camps/clinics)

Position:

Youth Program:

Years of Experience:

For the Field Hockey Tournament, please provide all names of teammates, if known.

Team Members:

* All fields above are required except "Address Line 2".

Select Camp:

Baseball Prospect Clinic, 10/13 ($150) (No Deposit - Pay in Full)
Baseball Prospect Clinic, 10/13, Pitchers Only ($125) (No Deposit - Pay in Full)
Women's Soccer ID Clinic, 10/27 ($100) (No Deposit - Pay in Full)
Field Hockey ID Clinic, 11/3 ($100) (No Deposit - Pay In Full)
Field Hockey Youth Clinic, 11/3 ($20) (No Deposit - Pay in Full)
Girl's Lacrosse Prospect Clinic, 11/3 ($55) (No Deposit - Pay In Full)

Please enter your amount of payment. A minimum deposit is due to hold your spot as outlined above or you may pay in full. *Please note when paying your final balance, you must return to this site and recomplete all registration and credit card information.*
Payment Amount (see above):		$

I would like to pay by: Mail-In Credit Card
Information for completing your payment and a confirmation screen will appear on the following pages.